2008-10-10_REPORT - M1987116 - Laserfiche WebLink

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ANNUAL FEE and REPORT REOUEST PERMITTEE NAME: Colorado Quarries Inc,-, PERMIT NO.: M-1987-116 OPERATION NAME: Siskin ANNIVERSARY DATE: November 2, 2008 ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) COUNTY: Custer I C T I ? 2008 v? According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, reclamation-accomplished-to-date and-during the preceding year; new disturbances"tliaf are anficipate3`to occur-`-- during the upcoming year, rec ama ion t at wi a performe-d-Turing`the a-o irrg-year,-the-dates-for-the-beginning- of active operations, and the date active operations ceased for the year, if any. Please attach your revised written annual report and annual report map to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated map. If no new disturbances or reclamation have occurred during the previous year and no new changes to the previous year's map are necessary, then no new map s_required, provided that the Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Bill Tezak Permittee Name: Colorado Quarries Inc Address: 270 S 15th St Canon City, CO 81212 Phone Number: (719) 275-6894 Fax Number: (719) 275-2131 If you have ad below or attach Date ents and/or information that should be provided to the Division, please provide it along with your written report and map. Annual Report instructions are enclosed. , or Designee